Izvorni znanstveni članak
https://doi.org/10.3325/cmj.2025.66.282
The efficacy of a hunger induced two-week tube weaning program: a retrospective study
Maria Elena Papagni
; Section of Pediatrics, Interdisciplinary Department of Medicine, Giovanni XXIII Children’s Hospital, University of Bari Aldo Moro, Bari, Italy
Sara Sila
; Department of Pediatrics, Referral Centre for Pediatric Gastroenterology and Nutrition, Children’s Hospital Zagreb, Zagreb, Croatia
*
Tena Niseteo
; Department of Pediatrics, Referral Centre for Pediatric Gastroenterology and Nutrition, Children’s Hospital Zagreb, Zagreb, Croatia
Tihana Koren
; Department of Pediatrics, Referral Centre for Pediatric Gastroenterology and Nutrition, Children’s Hospital Zagreb, Zagreb, Croatia
Ivana Bukovina
; Department of Pediatrics, Referral Centre for Pediatric Gastroenterology and Nutrition, Children’s Hospital Zagreb, Zagreb, Croatia
Mara Vukadin Petković
; Department of Pediatrics, Referral Centre for Pediatric Gastroenterology and Nutrition, Children’s Hospital Zagreb, Zagreb, Croatia
Zrinjka Mišak
; Department of Pediatrics, Referral Centre for Pediatric Gastroenterology and Nutrition, Children’s Hospital Zagreb, Zagreb, Croatia
Ana Močić Pavić
; Department of Pediatrics, Referral Centre for Pediatric Gastroenterology and Nutrition, Children’s Hospital Zagreb, Zagreb, Croatia
Sanja Kolaček
; Department of Pediatrics, Referral Centre for Pediatric Gastroenterology and Nutrition, Children’s Hospital Zagreb, Zagreb, Croatia
Iva Hojsak
; Department of Pediatrics, Referral Centre for Pediatric Gastroenterology and Nutrition, Children’s Hospital Zagreb, Zagreb, Croatia
* Dopisni autor.
Sažetak
Aim To assess the efficacy of a multidisciplinary tube
weaning program.
Methods This retrospective cohort study enrolled children
with feeding tube dependency who had not responded
to standard tube-weaning interventions. All participants
underwent a structured two-week multidisciplinary tube
weaning delivered in a day-hospital setting at the Chil
dren’s Hospital Zagreb in the period from August 2016 to
February 2023. The program was based on a hunger-in
duction approach and combined with mealtime therapy,
sensory integration therapy, parental group therapy and
individual support, nutritional counseling, and a workshop
for parents. The outcomes were evaluated at the begin
ning of the program, the end of the program, 3-6 months
after the program, and at the last follow-up.
Results The study enrolled 30 patients (mean age 2.6 ± 1.9
years; 60.0% girls). All patients had complex medical con
ditions and were tube-dependent for a mean of 29 ± 22
months. The majority (70.0%) had a psychomotor delay.
At the end of the program, 27 (90.0%) patients showed
improved oral intake, and 10 (33.3%) were completely
weaned off tube feeding. During follow-up (mean 40.5
months, n = 24 children), 18 children (78.0%) were weaned
off tube feeding.
Conclusions A two-week program effectively improved
oral intake and resulted in a high success rate for tube
weaning in the long term.
Ključne riječi
Hrčak ID:
352537
URI
Datum izdavanja:
31.8.2025.
Posjeta: 0 *